Skip to main content

Florida Medicaid

Welcome to Florida Medicaid! Learn more about your coverage and benefits and find the documents you need.

Mother looking at son and holding him up in air while both laugh.

Helping you on your journey to good health

Humana has had a strong relationship with Florida Medicaid for the past 20 years and continues to focus on helping members on their journey to good health.

Woman holding up ultrasound.

Coverage and benefits

Your Florida Medicaid plan includes medical, vision and hearing coverage, as well as expanded benefits. You also have prescription drug and behavioral health benefits and may also have long-term care coverage, depending on your plan.

Father and son sitting on porch drinking coffee

New member information

Welcome to Florida Medicaid! Start here to find the new member information you need.

Mother and daughter hugging.

Supporting you in an emergency or disaster

There are many things to worry about in an emergency or disaster—your health insurance coverage should not be one of them. Florida Medicaid is here to support you during public health emergencies or disasters.

See what steps we take to make sure you are covered.

Extended family taking a picture

Enrollment information

Medicaid provides free or low-cost health insurance to millions of Americans. Coverage is open to low-income people, families and children, pregnant women, senior citizens and people with disabilities.

Extras from Humana

Your Florida Medicaid plan has many benefits to help you make the most of your plan.

Medicaid extras

Continuity of Care

Sometimes new health and dental plans are added to your Medicaid benefits. When this happens, there are guidelines in place to make sure that you are covered during the transition to these new plans.

This is called Continuity of Care (COC). COC makes sure that your dental and health services won’t be interrupted when we switch plans. You will be able to see your doctors and fill your prescriptions like normal.

The Agency for Health Care Administration (Agency) contracts with Medicaid health and dental plans to provide services to health plan enrollees in the Statewide Medicaid Managed Care (SMMC) program. The Agency recently entered into new contracts with health and dental plans. As part of those contracts, the Agency achieved program changes that greatly benefit enrollees and providers.

Health and dental plans are required to ensure continuity of care (COC) during the transition period for Medicaid recipients enrolled in the SMMC program. COC requirements ensure that when enrollees transition from one health plan to another, one service provider to another, or one service delivery system to another (i.e., fee-for-service to managed care), their services continue seamlessly throughout their transition.

The Agency has instituted the following COC provisions:

  • Health care providers should not cancel appointments with current patients. Health plans must honor any ongoing treatment that was authorized prior to the recipient’s enrollment into the plan for up to 60 days after the roll-out date in each region.
  • Providers will be paid. Providers should continue providing any services that were previously authorized, regardless of whether the provider is participating in the plan’s network. Plans must pay for previously authorized services for up to 60 days after the roll-out date in each region, and must pay providers at the rate previously received for up to 30 days.
  • Providers will be paid promptly. During the continuity of care period, plans are required to follow all timely claims payment contractual requirements. The Agency will monitor complaints to ensure that any issues with delays in payment are resolved.
  • Prescriptions will be honored. Plans must allow recipients to continue to receive their prescriptions through their current provider, for up to 60 days after the roll-out date in each region, until their prescriptions can be transferred to a provider in the plan’s network.

More information about COC provisions can be referenced on the COC program highlight document, which is posted on the Agency’s website at www.ahca.myflorida.com/smmc, opens new window. Once on the page, click Program Changes, then the Outreach and Presentations link.

Florida Medicaid coverage areas

Florida Medicaid is proud to provide health insurance coverage in the following counties:

  • Escambia, Okaloosa, Santa Rosa and Walton
  • Bay, Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla, and Washington
  • Alachua, Bradford, Citrus, Columbia, Dixie, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Putnam, Sumter, Suwannee, and Union
  • Baker, Clay, Duval, Flagler, Nassau St. Johns, and Volusia
  • Pasco and Pinellas
  • Hardee, Highlands, Hillsborough, Manatee and Polk
  • Brevard, Orange, Osceola and Seminole
  • Charlotte, Collier, Desoto, Glades, Hendry, Lee, and Sarasota
  • Indian River, Martin, Okeechobee, Palm Beach and St. Lucie
  • Broward
  • Miami-Dade and Monroe

Looking for help?

Contact Us

If you have questions, find the number you need to get help and support.

Find a Doctor

Find a doctor, hospital or pharmacy.

Documents & forms

Find the documents and forms you need, including your member handbook.